Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $731.32 / $1,863.08	Facility		$225.60	$731.32	$1,863.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $108.89 / $308.14	Professional		$44.10	$108.89	$308.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $167.30 / $184.02	Facility		$122.68	$167.30	$184.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $258.58 / $258.58	Professional		$167.30	$258.58	$258.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $134.29	Facility		$109.99	$109.99	$134.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $562.83	Professional		$109.99	$109.99	$562.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $310.63 / $677.09	Facility		$57.37	$310.63	$677.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $133.00 / $133.00	Professional		$133.00	$133.00	$133.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.06 / $450.58 / $652.58	Professional		$437.06	$450.58	$652.58